2008-2017年山东省50岁及以上艾滋病感染者/病人流行特征分析
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摘要
目的分析山东省50岁及以上艾滋病感染者/病人流行特征,为制定针对性干预措施提供依据。方法收集2008-2017年山东省报告的50岁及以上艾滋病感染者/病人的病例报告信息进行流行病学资料分析。结果 2008-2017年共报告50岁及以上艾滋病感染者/病人1 403例,81. 6%(1 145例)为男性,18. 4%(258例)为女性,平均年龄(57. 7±7. 0)岁,63. 7%(894例)已婚有配偶,文化程度已初中及以下为主占70. 6%(991例),职业以农民为主占49. 0%(688例)。2008-2017年50岁及以上艾滋病感染者/病人数量不断增加,占当年新报告病例的比例呈增长趋势(趋势=107. 4,P <0. 001),男性病例以男男同性传播为主,病例发展到病人的时间短,大部分发现时已处于病人阶段。结论山东省50岁及以上艾滋病感染者/病人呈上升趋势,晚发现比例高,其中的男男性行为人群需要重点关注。
Objective To analyze the epidemiological characteristics of HIV/AIDS patients aged 50 and above in Shandong,and to provide the basis for the formulation of targeted interventions. Methods The data of reported HIV/AIDS cases aged 50 years old and above during 2008 to 2017 were collected from China Information System of AIDS Comprehensive Control and Prevention,and then analyzed for the epidemiological statistics. Results 1 403 HIV/AIDS patients aged 50 and above were reported from 2008 to 2017. 81. 6% of them were male,and 18. 4% were female. The average age was 57. 7 ± 7. 0 years old. 63. 7%( 894 cases) among them were married. The education degree of junior high school accounted for 70. 6%( 991cases). 49. 0%( 688 cases) were farmers. The number of HIV/AIDS patients aged 50 and above was increasing from 2008 to2017,which took an important proportion of newly reported cases in the current year( = 107. 4,P < 0. 001). Male cases were mainly infected by the men who had sex with men. The course of this disease was short,and most of the cases were in the AIDS patient stage once they were checked. Conclusion The number of HIV/AIDS patients aged 50 and above in Shandong Province shows an increasing trend,and the proportion of late-onset is high. It is necessary to attach focus and attention to the MSM.
Objective To analyze the epidemiological characteristics of HIV/AIDS patients aged 50 and above in Shandong,and to provide the basis for the formulation of targeted interventions. Methods The data of reported HIV/AIDS cases aged 50 years old and above during 2008 to 2017 were collected from China Information System of AIDS Comprehensive Control and Prevention,and then analyzed for the epidemiological statistics. Results 1 403 HIV/AIDS patients aged 50 and above were reported from 2008 to 2017. 81. 6% of them were male,and 18. 4% were female. The average age was 57. 7 ± 7. 0 years old. 63. 7%( 894 cases) among them were married. The education degree of junior high school accounted for 70. 6%( 991cases). 49. 0%( 688 cases) were farmers. The number of HIV/AIDS patients aged 50 and above was increasing from 2008 to2017,which took an important proportion of newly reported cases in the current year( = 107. 4,P < 0. 001). Male cases were mainly infected by the men who had sex with men. The course of this disease was short,and most of the cases were in the AIDS patient stage once they were checked. Conclusion The number of HIV/AIDS patients aged 50 and above in Shandong Province shows an increasing trend,and the proportion of late-onset is high. It is necessary to attach focus and attention to the MSM.
引文
[1] 2017年12月全国艾滋病性病疫情[J].中国艾滋病性病,2018,24(2):111.
[2]许艳,王璐.国内外≥50岁年龄组人群艾滋病流行特征及危险因素[J].中华流行病学杂志,2011,32(11):1166-1169.
[3]黑发欣,王璐,秦倩倩,等.中国50岁以上人群艾滋病疫情特点及流行因素分析[J].中华流行病学杂志,2011,32(5):526-527.
[4] Xing JN,Li YG,Tang WM,et al. HIV/AIDS epidemic among older adults in China during 2005-2012:results from trend and spatial analysis[J]. Clinical Infectious Diseases,2014,59(2):e53-e60.
[5] World Health Organization. Impact of AIDS on older people in Africa:Zimbabwe case study[R]. Geneva:WHO,2002:5.
[6]全国人民代表大会常务委员会.中华人民共和国传染病防治法[J].科技与法律,2004(3):126-134.
[7]中华人民共和国卫生和计划生育委员会.艾滋病防治条例[J].中国卫生法制,2006(2):44-48.
[8]汪宁.中国艾滋病流行的一些新动向[J].中华流行病学杂志,2010,31(11):1205-1209.
[9]邱智,刘保兴,李宏军,等.北京地区老年男性性生活现状初步调查[J].中华男科学杂志,2010,16(3):223-226.
[10]杨作凯,卢巧玲,单杏仁.绍兴市50岁及以上HIV/AIDS病例特征分析[J].中国艾滋病性病,2015,21(10):895-896.
[11]叶振淼,王大勇,赵丽娜,等. 2012-2016年温州市50岁及以上艾滋病病毒感染者/艾滋病患者流行特征分析[J].现代预防医学,2018,45(5):776-780.
[12]端琼丽,张维义,姚恩龙. 2008-2014年红河州老年HIV/AIDS流行病学特征分析[J].现代预防医学,2016,43(10):1743-1745,1789.
[13] Liao MZ,Kang DM,Jiang BF,et al. Bisexual behavior and infection with HIV and syphilis among men who have sex with men along the East coast of China[J]. AIDS Patient Care and STDs,2011,25(11):683-691.
[14]杨兴光,张娜,郝连正,等. 2007-2016年山东经不同性途径男性HIV感染者和艾滋病患者流行病学特征分析[J].中华预防医学杂志,2018,52(3):292-295.
[15]杨兴光,张娜,郝连正,等. 2003-2013年山东省男性同性传播艾滋病流行特征分析[J].中华预防医学杂志,2015,49(2):181
[16]汤后林,毛宇嵘,张铁军,等. HIV感染者及艾滋病患者检测发现晚的原因调查分析[J].中华预防医学杂志,2012,46(11):1004-1008.
[2]许艳,王璐.国内外≥50岁年龄组人群艾滋病流行特征及危险因素[J].中华流行病学杂志,2011,32(11):1166-1169.
[3]黑发欣,王璐,秦倩倩,等.中国50岁以上人群艾滋病疫情特点及流行因素分析[J].中华流行病学杂志,2011,32(5):526-527.
[4] Xing JN,Li YG,Tang WM,et al. HIV/AIDS epidemic among older adults in China during 2005-2012:results from trend and spatial analysis[J]. Clinical Infectious Diseases,2014,59(2):e53-e60.
[5] World Health Organization. Impact of AIDS on older people in Africa:Zimbabwe case study[R]. Geneva:WHO,2002:5.
[6]全国人民代表大会常务委员会.中华人民共和国传染病防治法[J].科技与法律,2004(3):126-134.
[7]中华人民共和国卫生和计划生育委员会.艾滋病防治条例[J].中国卫生法制,2006(2):44-48.
[8]汪宁.中国艾滋病流行的一些新动向[J].中华流行病学杂志,2010,31(11):1205-1209.
[9]邱智,刘保兴,李宏军,等.北京地区老年男性性生活现状初步调查[J].中华男科学杂志,2010,16(3):223-226.
[10]杨作凯,卢巧玲,单杏仁.绍兴市50岁及以上HIV/AIDS病例特征分析[J].中国艾滋病性病,2015,21(10):895-896.
[11]叶振淼,王大勇,赵丽娜,等. 2012-2016年温州市50岁及以上艾滋病病毒感染者/艾滋病患者流行特征分析[J].现代预防医学,2018,45(5):776-780.
[12]端琼丽,张维义,姚恩龙. 2008-2014年红河州老年HIV/AIDS流行病学特征分析[J].现代预防医学,2016,43(10):1743-1745,1789.
[13] Liao MZ,Kang DM,Jiang BF,et al. Bisexual behavior and infection with HIV and syphilis among men who have sex with men along the East coast of China[J]. AIDS Patient Care and STDs,2011,25(11):683-691.
[14]杨兴光,张娜,郝连正,等. 2007-2016年山东经不同性途径男性HIV感染者和艾滋病患者流行病学特征分析[J].中华预防医学杂志,2018,52(3):292-295.
[15]杨兴光,张娜,郝连正,等. 2003-2013年山东省男性同性传播艾滋病流行特征分析[J].中华预防医学杂志,2015,49(2):181
[16]汤后林,毛宇嵘,张铁军,等. HIV感染者及艾滋病患者检测发现晚的原因调查分析[J].中华预防医学杂志,2012,46(11):1004-1008.